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ALLAN J. MCCORKLE M.D.P.A. NPI 1477719292


NPI Information

NPI: 1477719292
Provider Name: ALLAN J. MCCORKLE, M.D.,P.A.

Doing Business As: LONE STAR PSYCHIATRIC SERVICES

Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

CLIA Number: 45D2152220

Address:
7021 KEWANEE AVE
6-104
LUBBOCK, TX
ZIP 79424
Phone: (806) 355-1313
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ALLAN J. MCCORKLE, M.D.,P.A. is a geriatric psychiatry psychiatry neurology in Lubbock, TX. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. ALLAN J. MCCORKLE, M.D.,P.A. NPI is 1477719292. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lone Star Psychiatric Services.

The provider's business location address is:

7021 KEWANEE AVE
6-104
LUBBOCK, TX
ZIP 79424-048
Phone: (806) 355-1313

The provider's authorized official is Allan James Mccorkle .
The authorized official title is Owner and has the following contact phone number (806) 355-1313.

The CLIA number assigned to this NPI record is 45D2152220 - other - mobile urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1260029779OTHERPALMETTO GBA
2123652303MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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